A 59-year-old man with COPD exacerbation requiring NIV asks about steroid route. Which is true?...

Question

A 59-year-old man with COPD exacerbation requiring NIV asks about steroid route. Which is true?

Accepted Answer

Oral prednisone 40 mg daily x5 days is as effective as IV

Answer

IV steroids superior to oral

Answer

Steroids only if eosinophils elevated

Answer

Steroids contraindicated if diabetic

Answer

Long taper over 4 weeks needed

us-abfm MCQ (SBA): COPD Exacerbation